Online Application Form
Please enter your details below to register to submit an abstract:
Title:
First Name:
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Type of Membership:
BASL qualified membership = £60
BASL GP Member = £60
BASL in training membership = £35
BASL + BVHG combined qualified membership = £100
BASL + BVHG combined in training membership = £55
BASL or BVHG combined retired membership = £80
BASLNF nurse membership = £20
BASLNF or BVHG consultant member = £40
BVHG in training member = £20
Job Title:
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Work Email Address
Home Email Address
Address 1:
Address 2:
Address 3:
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Clinical / Non-clinical:
Clinical
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Research Interests:
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